EP2263565A1 - Chirurgisches Klammerinstrument mit Greifflächen - Google Patents

Chirurgisches Klammerinstrument mit Greifflächen Download PDF

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Publication number
EP2263565A1
EP2263565A1 EP10177535A EP10177535A EP2263565A1 EP 2263565 A1 EP2263565 A1 EP 2263565A1 EP 10177535 A EP10177535 A EP 10177535A EP 10177535 A EP10177535 A EP 10177535A EP 2263565 A1 EP2263565 A1 EP 2263565A1
Authority
EP
European Patent Office
Prior art keywords
jaw
lower jaw
gripping
surgical instrument
attached
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP10177535A
Other languages
English (en)
French (fr)
Other versions
EP2263565B1 (de
Inventor
Fredrick E. Shelton Iv
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Priority to PL10177535T priority Critical patent/PL2263565T3/pl
Publication of EP2263565A1 publication Critical patent/EP2263565A1/de
Application granted granted Critical
Publication of EP2263565B1 publication Critical patent/EP2263565B1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320052—Guides for cutting instruments

Definitions

  • the present invention relates in general to surgical stapler instruments that are capable of applying lines of staples to tissue while cutting the tissue between those staple lines and, more particularly, to improvements relating to stapler instruments and improvements in processes for forming various components of such stapler instruments including adding bolstering material to the severed and stapled tissue.
  • Endoscopic and laparoscopic surgical instruments are often preferred over traditional open surgical devices since a smaller incision tends to reduce the post-operative recovery time and complications.
  • the use of laparoscopic and endoscopic surgical procedures have been relatively popular and has provided additional incentive to develop the procedures further.
  • laparoscopic procedures surgery is performed in the interior of the abdomen through a small incision.
  • endoscopic procedures surgery is performed in any hollow viscus of the body through narrow endoscopic tubes inserted through small entrance wounds in the skin.
  • Laparoscopic and endoscopic procedures generally require that the surgical region be insufflated. Accordingly, any instrumentation inserted into the body must be sealed to ensure that gases do not enter or exit the body through the incision. Moreover, laparoscopic and endoscopic procedures often require the surgeon to act on organs, tissues and/or vessels far removed from the incision. Thus, instruments used in such procedures are typically long and narrow while being functionally controllable from a proximal end of the instrument.
  • Known surgical staplers include an end effector that simultaneously makes a longitudinal incision in tissue and applies lines of staples on opposing sides of the incision.
  • the end effector includes a pair of cooperating jaw members that, if the instrument is intended for endoscopic or laparoscopic applications, are capable of passing through a cannula passageway.
  • One of the jaw members receives a staple cartridge having at least two laterally spaced rows of staples.
  • the other jaw member defines an anvil having staple-forming pockets aligned with the rows of staples in the cartridge.
  • the instrument includes a plurality of translating wedges which, when driven distally, pass through openings in the staple cartridge and engage drivers supporting the staples to effect the firing of the staples toward the anvil.
  • an improved surgical stapling and severing instrument enhances clinical flexibility for both positioning tissue as well as stapling and severing, as described in U.S. Pat. Appln. No. 10/441,580 , entitled "Surgical Stapling Instrument Having a Firing Lockout for an Unclosed Anvil", filed on June 20, 2003, the disclosure of which is hereby incorporated by reference in its entirety.
  • a separate closure trigger allows use as a grasper without the risk of inadvertent firing (i.e., simultaneous stapling and severing). While a successful approach, further enhancements would be desirable so that a surgical stapling and severing instrument may serve as a grasper.
  • the invention overcomes the above-noted and other deficiencies of the prior art by providing a surgical instrument that incorporates a surgical stapling instrument that has a lower jaw that upwardly dispenses staples that are formed against an inner surface of a pivotally attached upper jaw.
  • a handle operates through an elongate shaft to to dispense and form the staples through clamped tissue.
  • a trigger Prior to stapling, a trigger may be selectively employed to open and close the upper jaw while manipulating the handle, and thus the jaws, as a grasper to position tissue in preparation for stapling or other purposes.
  • a nonplanar gripping surface on an inner surface of the jaws advantageously assists in gripping the tissue for positioning. Thereby, clinical flexibility and efficiency is enhanced.
  • gripping surfaces on both inner surfaces of the opposing jaws cooperate in grasping tissue.
  • a separate closure trigger and firing trigger enhance operation as a grasping instrument in conjunction with the gripping surfaces prior to actuating the firing trigger to operate as a stapling and severing instrument.
  • FIG. 1 is a left isometric view in elevation of a surgical stapling and severing instrument with an open end effector (staple applying assembly) having tissue gripping surfaces.
  • FIG. 2 is a left side view of the staple applying assembly of FIG. 1 with opposing gripping surfaces on each open jaw.
  • FIG. 3 is a left side view of the staple applying assembly of FIG. 2 with closed jaws and nonplanar, loosely enmeshing (interdigitating) gripping surfaces.
  • FIG. 4 is a lower left isometric view of the staple applying assembly of FIG. 2 with open jaws.
  • FIG. 5 is an upper left isometric view of the staple applying assembly of FIG. 2 with open jaws.
  • a surgical stapling and severing instrument 10 includes a handle portion 12 ( FIG. 1 ) that manipulates to position an implement portion 14 formed from a fastening end effector, specifically a staple applying assembly 16, distally attached to an elongate shaft 18.
  • the implement portion 14 is sized for insertion through a cannula of a trocar (not shown) for an endoscopic or laparoscopic surgical procedure.
  • a staple cartridge 26 is inserted into an elongate staple channel 28 to form the lower jaw 22 as depicted.
  • a surgeon pivots a closure trigger 30 toward a pistol grip 32 of the handle portion 12.
  • a closure sleeve 34 is distally translated to pivot shut the anvil 24.
  • the implement portion 14 may then be inserted into a cannula of a trocar in an insufflated body cavity or lumen.
  • the surgeon may rotate the implement portion 14 about its longitudinal axis by twisting a shaft rotation knob 36 that engages across a distal end of the handle 12 and a proximal end of the elongate shaft 18.
  • the closure trigger 30 may be repeatedly manipulated and the handle 12 positioned in order to grasp and move tissue.
  • Upper lateral gripping ridges 38 ( FIGS. 2-4 ) proximate to a distal end on an inner surface 40 of the anvil 24 cooperate with lower lateral gripping ridges 42 ( FIGS. 1-5 ) on an inner surface 44 of the lower jaw 22.
  • the upper and lower gripping ridges 38, 42 loosely enmesh to form a strong grip on interposed tissue to assist in positioning.
  • Shaping of staple forming apertures 46 ( FIG. 4 ) on the inner surface 40 of the anvil 24 and staple dispensing apertures 48 ( FIG. 5 ) in the inner surface 44 of the staple cartridge 26 may advantageously enhance the grip on tissue more proximally placed in the staple applying assembly 16.
  • the surgeon further depresses the closure trigger 30 until the closure trigger 30 locks in position proximate to the pistol grip 32.
  • a firing trigger 50 is depressed, perhaps multiple times, with firing progress indicated on a firing gauge 52 on the handle portion 12.
  • the firing trigger 50 is drawn toward the closure trigger 24 and pistol grip 26 to distally advance a firing member (not shown) within the elongate shaft 18 to effect stapling and severing within the staple applying assembly 16.
  • the firing trigger 50 is released. If the firing member does not retract automatically, the surgeon raises a manual retraction lever 54 to assist in retraction.
  • a closure release button 56 is depressed to unlock the closure trigger 30 to open the staple applying assembly 16 and thereby release the stapled, severed ends of tissue.
  • lateral ridged surfaces 38, 42 are depicted, it should be appreciated that a toothed surface, a knurled surface, etc. may be used.
  • the illustrative version includes a gripping portion disposed distal to the stapling and severing region of the staple applying assembly 16
  • applications consistent with the present invention may include staple cartridges contoured to enmesh with mirror image contour of the inner surface of the anvil to increase the grip.
  • outer lateral edges of each of the anvil and elongate channel may include loosely enmeshing rack segments along their length.
  • surgical stapling and severing instrument has a separate closure trigger and firing trigger
  • applications consistent with aspects of the invention may include those with a single trigger that sequentially closes the end effector and with further movement causes severing and stapling.
  • robotically manipulated and/or controlled fastening devices may incorporate a force controlled firing bar.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
EP10177535.1A 2005-09-26 2006-09-25 Chirurgisches Klammerinstrument mit Greifflächen Active EP2263565B1 (de)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PL10177535T PL2263565T3 (pl) 2005-09-26 2006-09-25 Chirurgiczne urządzenie zszywające posiadające efektor końcowy zaciskający powierzchnie

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/235,591 US7451904B2 (en) 2005-09-26 2005-09-26 Surgical stapling instrument having end effector gripping surfaces
EP06254953.0A EP1767157B1 (de) 2005-09-26 2006-09-25 Chirurgisches Klammerinstrument mit Greifflächen

Related Parent Applications (3)

Application Number Title Priority Date Filing Date
EP06254953.0 Division 2006-09-25
EP06254953.0A Division-Into EP1767157B1 (de) 2005-09-26 2006-09-25 Chirurgisches Klammerinstrument mit Greifflächen
EP06254953.0A Division EP1767157B1 (de) 2005-09-26 2006-09-25 Chirurgisches Klammerinstrument mit Greifflächen

Publications (2)

Publication Number Publication Date
EP2263565A1 true EP2263565A1 (de) 2010-12-22
EP2263565B1 EP2263565B1 (de) 2016-10-26

Family

ID=37622077

Family Applications (2)

Application Number Title Priority Date Filing Date
EP06254953.0A Active EP1767157B1 (de) 2005-09-26 2006-09-25 Chirurgisches Klammerinstrument mit Greifflächen
EP10177535.1A Active EP2263565B1 (de) 2005-09-26 2006-09-25 Chirurgisches Klammerinstrument mit Greifflächen

Family Applications Before (1)

Application Number Title Priority Date Filing Date
EP06254953.0A Active EP1767157B1 (de) 2005-09-26 2006-09-25 Chirurgisches Klammerinstrument mit Greifflächen

Country Status (7)

Country Link
US (1) US7451904B2 (de)
EP (2) EP1767157B1 (de)
JP (1) JP5259065B2 (de)
CN (1) CN1951333B (de)
AU (1) AU2006222671B2 (de)
CA (1) CA2560808C (de)
PL (2) PL1767157T3 (de)

Families Citing this family (889)

* Cited by examiner, † Cited by third party
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EP1767157A1 (de) 2007-03-28
AU2006222671A1 (en) 2007-04-19
PL2263565T3 (pl) 2017-04-28
CN1951333B (zh) 2012-02-01
EP1767157B1 (de) 2016-03-30
US7451904B2 (en) 2008-11-18
CA2560808A1 (en) 2007-03-26
AU2006222671B2 (en) 2012-08-23
PL1767157T3 (pl) 2016-10-31
CA2560808C (en) 2014-08-05
BRPI0603966A (pt) 2007-06-12
JP5259065B2 (ja) 2013-08-07
CN1951333A (zh) 2007-04-25
JP2007090070A (ja) 2007-04-12
EP2263565B1 (de) 2016-10-26
US20070068989A1 (en) 2007-03-29

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